Ch 27 patient safety and quality

Question 1

intervention skills to promote safety-3

Answer 1

1. demonstrate effective use of technology and standardized practice
2. demonstrate effective use of strategies to reduce risk of harm to self or others
3. use appropriate strategies to reduce reliance on memory

Question 2

implication for older adults-6

Answer 2

1. encourage annual vision and hearing screening
2. teach safety tips for avoiding automobile accidents
3. be sure adults know how to properly use assistive devices
4. institute a regular toileting schedule
5. encourage use of medication organizers
6. review drug profile

Question 3

general preventive measures-3

Answer 3

1. adequate lighting
2. modification in the environment
3. use aseptic practices

Question 4

fire intervention RACE

Answer 4

R- rescue and remove all patients in immediate danger
A- activate the alarm
C- confine the fire by closing doors and windows
E- extinguish the fire

Question 5

fire extinguisher PASS

Answer 5

P-pull pin
A- aim at base of fire
S- squeeze handles
S- sweep from side to side

Question 6

National patient safety goals-7

Answer 6

1. ID patients correctly
2. Improve staff communication
3. use medicines safely
4. Use alarms safely
5. prevent infection
6. ID patient safety risks (suicide)
7. prevent mistakes in surgery

Question 7

Never events-5

Answer 7

1. foreign object retained after surgery
2. air embolism
3. blood incompatibility
4. pressure ulcer stage 3 and 4
5. catheter associated UTI

Question 8

physical restraint

Answer 8

any manual method or physical or mechanical device , material, or equipment that immobilizes or reduces the ability of a patient to move their arms, legs, body, or head freely

Question 9

chemical restraint

Answer 9

medications used to manage a pt’s behavior and are not a standard treatment or dosage for the pt condition

Question 10

restraint complications

Answer 10

pressure ulcers, pneumonia, constipation, incontinence

Question 11

nursing process for restraints-6

Answer 11

1. explain purpose
2. expected care during restraint
3. precautions taken to avoid injury
4. restraint is temporary and protective
5. informed consent needed before use in long term care
6. continual assessment

Question 12

restraint orders

Answer 12

must be current, state type and location, specify duration and circumstances for use

Question 13

restraint time limits

Answer 13

adult- 8 hours
age 9-17- 2 hours
under 9- 1 hour

Question 14

restraint objectives (must meet one)-4

Answer 14

1. reduce risk of injury from falls
2. prevent interruption of therapy
3. prevent confused or combative pt from removing life support equipment
4. reduce risk of injury to others by the patient

Question 15

fall prevention-5

Answer 15

1. complete assessment on all pts at admission and routinely
2. color coded wristbands
3. bed alarms
4. bedside comodes
5. use of gait belts